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Title: | Factors influencing risky sexual behaviour among Mozambican miners: a socio-epidemiological contribution for HIV prevention framework in Mozambique | Authors: | Martins-Fonteyn, Emilia LOQUIHA, Osvaldo Baltazar, Cynthia Thapa, Subash Boothe, Makini Raimundo, Ines HENS, Niel AERTS, Marc Meulemans, Herman Degomme, Olivier Wouters, Edwin |
Issue Date: | 2017 | Publisher: | BIOMED CENTRAL LTD | Source: | INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH, 16 (Art N° 179) | Abstract: | Background: Information dealing with social and behavioural risk factors as well as their mechanisms among Mozambican migrants working in South African mines remains undocumented. This study aims to understand the various factors influencing HIV-related risk behaviours and the resulting HIV positive status of Mozambican miners employed by South African mines. This analysis was undertaken in order to inform a broader and more effective HIV preventive framework in Mozambique. Method: This study relied upon data sourced from the first Integrated Biological and Behavioural Survey among Mozambican miners earning their living in South African mines. It employs quantitative techniques using standard statistical tools to substantiate the laid-down objectives. The primary technique applied in this paper is the multivariable statistical method used in the formulation and application of a proximate determinants framework. Results: The odds of reporting one sexual partner were roughly three times higher for miners working as perforators as opposed to other types of occupation. As well, the odds of condom use - always or sometimes - for miners in the 31-40 age group were three times higher than the odds of condom use in the 51+ age group. Miners with lower education levels were less likely to use condoms. The odds of being HIV positive when the miner reports use of alcohol or drugs (sometimes/always) is 0.32 times lower than the odds for those reporting never use of alcohol or drugs. And finally, the odds of HIV positive status for those using condoms were 2.16 times that of miners who never used condoms, controlling for biological and other proximate determinants. Conclusion: In Mozambique, behavioural theory emphasising personal behavioural changes is the main strategy to combat HIV among miners. Our findings suggest there is a need to change thinking processes about how to influence safer sexual behaviour. This is viewed to be the result of a person's individual decision, due to of the complexity of social and contextual factors that may also influence sexual behaviours. This only stresses the need for HIV prevention strategies to exclusively transcend individual factors while considering the broader social and contextual phenomena influencing HIV risk among Mozambican miners. | Notes: | [Martins-Fonteyn, Emilia; Meulemans, Herman; Wouters, Edwin] Univ Antwerp, Res Ctr Longitudinal & Life Course Studies, City Campus,Prinsstr 13, BE-2000 Antwerp, Belgium. [Martins-Fonteyn, Emilia; Meulemans, Herman; Wouters, Edwin] Univ Antwerp, Dept Sociol, City Campus,Prinsstr 13, BE-2000 Antwerp, Belgium. [Loquiha, Osvaldo; Hens, Niel; Aerts, Marc] Univ Hasselt, Interuniv Inst Biostat & Stat Bioinformat, Hasselt, Belgium. [Loquiha, Osvaldo] Univ Eduardo Mondlane, Dept Math & Informat, Maputo, Mozambique. [Baltazar, Cynthia] Minist Hlth, Natl Inst Hlth, Surveillance Dept, Maputo, Mozambique. [Thapa, Subash] Katholieke Univ Leuven, Dept Publ Hlth, Leuven, Belgium. [Thapa, Subash] Inst Trop Med, Dept Publ Hlth, Antwerp, Belgium. [Boothe, Makini] Global Hlth Sci, Univ Calif San Francisco USA, Maputo, Mozambique. [Raimundo, Ines] Univ Eduardo Mondlane, Fac Social Sci, Maputo, Mozambique. [Hens, Niel] Univ Antwerp, Vaccine & Infect Dis Inst, Ctr Hlth Econ Res & Modelling Infect Dis, Antwerp, Belgium. [Degomme, Olivier] Univ Ghent, Int Ctr Reprod Hlth, Ghent, Belgium. | Keywords: | HIV infection; Risky sexual behaviour; Mozambican miners;HIV infection; Risky sexual behaviour; Mozambican miners | Document URI: | http://hdl.handle.net/1942/25781 | e-ISSN: | 1475-9276 | DOI: | 10.1186/s12939-017-0674-z | ISI #: | 000412659000001 | Rights: | © The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2018 |
Appears in Collections: | Research publications |
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